Daiju Tanaka, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52690 Issued in CA

Practice address

25200 La Paz Rd Ste 109
Laguna Hills, CA 92653-5134

Phone

(949) 855-9525

NPI assigned

Jun 11, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tanaka and Yang Dental Partnership

  • Dentist
  • Laguna Hills, CA
  • NPI 1841577020
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1285894485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25200 LA PAZ RD STE 109",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535134",
            "telephone_number": "949-855-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25200 LA PAZ RD STE 109",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535134",
            "telephone_number": "949-855-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANAKA",
        "first_name": "DAIJU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy David Talbert
• Cynthia Anne Taleghani, OT
• Laura Marie Tamondong, MA, OTRL
• Chui Teng Diane Tan, RD
• Tanaka and Yang Dental Partnership
• Vaya Wendy Tanamai
• Sarah Marie Tank, P.T.
• Sharon Lyn Tanner, PA
• Te Ting Tao
• Rachel Ann Tapscott

• General Practice Dentistry in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.